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Data Entry Prior Authorization

Location:
Atlanta, GA
Posted:
September 04, 2024

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Resume:

Chandlor Nolan 470-***-****)

Summary

Results oriented administrative receptionist eager to bring strong administrative skills to a company in need of top-level support. Excellent organization, communication and relationship building skills. Articulate and friendly with a professional demeanor.

Highlights

Multi-line phone system expert, Document management, administrative support,

Strong Interpersonal skills, Detailed-oriented, Security Processes, Mail and package delivery

Vendor coordination, Data entry and Microsoft Office Suite

Work History

McKesson Corporation Prior Authorization and Medical Claims 2023-2024

Obtain pre-authorization from insurance carriers for medical services within a designated time frame.

Process medical orders to patients

Appeal insurance companies after prior authorization refusals.

collect necessary documentation and contact patients to gather further information

Place direct, drop ship and remote enhanced delivery orders

Provide product/service information, answer questions, and resolve any emerging problems that patients accounts might face with accuracy and efficiency

Report medical issues

Fleetcor Technologies Account Executive 2021-2022

•Assisted customers with billing, payments, and retention.

•Managed heavy inbound and outbound calling (65+ calls daily)

•Trained employees with entering customer data in new systems and organized customer interaction logs

•Provide basic technical support for clients on a wide range of company products, resolving issues.

•Sale appropriate products to customers to fit their business needs as needed to improve business.

State Farm Insurance Claims Adjuster 2014- 2021

•Managed heavy inbound and outbound calls to customers.

•Filed and processed new insurance claims

•Assisted customers in making claims for their home or auto insurance coverage

•Explained coverage or denial of claim to inquiring customers

•Confidentially recorded all customer information regarding claims payments etc.

•Provided monthly reports including the total amount of claims paid or denied

•Drafted and sent statements of amount of coverage and amount owed to the customer

•Assisted new customers in signing up for insurance coverage

•Help with customer appeals to denied claims

Belmont Village Certified Nursing Assistant 2018- 2020

•Assist patients with ADL’s such as feeding, mouth care, grooming, shaving, and incontinent care

•Assist nurse with care of residents

•Measure and record patient vitals

•Assists with restorative care

•Transport residents to appointments

•Build a relaxing environment for resident and family members

1

Chandlor Nolan

All Around Fitness Administrative Assistant 2016-2017

•Performed appointed scheduling for customers and vendors

•Handled payment processing from vendor and customers

•Served as a central point of contact for external and internal customers

•Generated reports and correspondence

•Implemented and managed new filing system

•Managed reception area within a high-volume environment

•Maintained reception area in a neat and organized fashion

•Dispersed incoming mail to correct recipients

•Made copies, sent faxes and handled outgoing correspondence

•Supplied key cards for building access to customers

Mary Scott Nursing Center Medical Receptionist 2012-2014

•Provide necessary information to the patients regarding the treatment services offered in the nursing facility

•Answered all kinds of queries personally or by telephone

•Help the patients and staff in filling nursing facility forms

•Schedule appointments of the patients with the respective doctors and making sure that the patient comes for treatment at the scheduled time

•Contact with the suppliers and ordering required equipment and stationery for the nursing center

•Maintain all kind of hospital papers and documents and provide them to the doctors when necessary

References furnished upon request



Contact this candidate